神经科急症neurologicalemergencies(编辑修改稿)内容摘要：
dmision to ICU •Haematoma evacuated •Pupils equal, reactive •MAP 80 •ICP 26 What next? Image Kathy Mak Management •Ensure adequate cerebral oxygen delivery – Oxygen saturation – Cerebral blood flow •Determined by cerebral perfusion pressure CPP=MAPICP – Reduce cerebral oxygen demand •Prevent herniation Management •Intracranial pressure – Treatment threshold 2025 mmHg •Cerebral perfusion pressure – Target 60 mmHg Reduce ICP •Drain CSF •Osmotherapy •PaCO2 ~ kPa (35 mmHg) •Improve venous drainage – Nurse head up (30176。 ) – Position head and neck to ensure venous drainage is not obstructed Image Kathy Mak Decrease cerebral oxygen demand •Analgesia and sedation •Control temperature (and treat cause of pyrexia) •Prevent/treat fits Image Kathy Mak Other treatment •stress ulcer amp。 mechanical DVT prophylaxis •physiotherapy •look for and treat coagulopathy – not unmon •prevent hyperglycaemia Image Kathy Mak Head injury •Any questions? Status epilepticus。阅读剩余 0%
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